How to quit opiates
How to stop taking opiates?
(Example: marijuana, meth, ( QUIT Date Quit _____ Substances used_____ Opiates, cocaine, bath salts) ( NEVER. Ever Use IV drugs? ( YES ( NO. SEXUAL HISTORY. Sex at birth? MALE FEMALE OTHER. Gender of current sexual partner(s) MALE FEMALE BOTH NOT ACTIVE. Gender of past sexual partner(s) MALE FEMALE BOTH NEVER BEEN ACTIVE ...
[DOC File]RELAPSE PREVENTION PLAN WORKSHEET
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*if heroin, street methadone, or other opiates (i.e., #7-10 in drug chart) were used in last 30 days, skip to q.7 6.e Because you haven't used heroin or other opiate drugs in the last 30 days, tell me how important each of the following reasons was for causing you to quit.
[DOC File]Nursing CEUs Online - No Test Required | NurseCe4Less.com
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RELAPSE PREVENTION PLAN WORKSHEET. DRUGS. A relapse prevention plan is a tool to help you as you continue your life free from drugs. The following questions will help you examine your past behavior and how you overcame your dependence on drugs.
54-A DISTRICT COURT PROBATION
Attempts to quit/control use. Time spent using. Activities given up due to use. Ongoing use despite consequences. Experiencing cravings. Taken in larger amounts of over a longer period of time than intended. Substance Age of First Use Amount and Route/frequency Criteria (Please indicate criteria from list above for each substance) Last Use Date ...
[DOC File]Adult Health History Form - Unity Care NW
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Opiates are the most misused prescription drugs and they can have a significant impact on the individual’s physical and mental health.16 Opioids include those listed below:7 . ... The Quit Line was developed specifically to assist individuals in determining their personal quitting needs. Phone educators are highly trained in crisis and ...
[DOC File]revised intake (word 6.0) - Texas Christian University
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have friends/family ever asked you to quit using? y n . longest period sober as an adult: have you ever tried to quit or cutback on your use of drugs or alcohol but couldn’t? y n. have you ever blacked out after using drugs/alcohol? y n . do you believe that you have a problem with drugs/alcohol? y n
Unity Health Chemical Dependency Inpatient Rehabilitation ...
have friends/family ever asked you to quit using? y n . longest period sober as an adult: _____ have you ever tried to quit or cutback on your use of drugs or alcohol but couldn’t? y n. have you ever blacked out after using drugs/alcohol? y n . do you believe that you have a problem with drugs/alcohol? y n
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